Evidence map›Paper›PMID 30241559›Full record

Trial reportScandinavian journal of trauma, resuscitation and emergency medicine2018

Impact of drug and equipment preparation on pre-hospital emergency Anaesthesia (PHEA) procedural time, error rate and cognitive load.

Paul Swinton, Alasdair R Corfield, Chris Moultrie, David Percival, Jeffrey Proctor, Neil Sinclair, Zane B Perkins

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of trauma, resuscitation and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Paul SwintonEmergency Medical Retrieval Service, ScotSTAR, Scottish Ambulance Service, Glasgow, UK. pswinton@nhs.net.ORCID http://orcid.org/0000-0002-4982-8920
Alasdair R CorfieldRoyal Alexandra Hospital, Paisley, UK.
Chris MoultrieRoyal Alexandra Hospital, Paisley, UK.
David PercivalEmergency Medical Retrieval Service, ScotSTAR, Scottish Ambulance Service, Glasgow, UK.
Jeffrey ProctorEmergency Medical Retrieval Service, ScotSTAR, Scottish Ambulance Service, Glasgow, UK.
Neil SinclairScottish Ambulance Service, Clinical Directorate, Edinburgh, UK.
Zane B PerkinsCentre for Trauma Sciences, Queen Mary, University of London, London, UK.
Royal Alexandra Hospital · GBQueen Mary University of London · GBWelsh Ambulance Services NHS Trust · GB

Funding

Scottish Health Innovations Ltd (SHIL) This was not a grant and there is no award number.
6 · The paper itself

Abstract

backgroundWe examined the effect of advanced preparation and organisation of equipment and drugs for Pre-hospital Emergency Anaesthesia (PHEA) and tracheal intubation on procedural time, error rates, and cognitive load.

methodsThis study was a randomised, controlled experiment with a crossover design. Clinical teams (physician and paramedic) from the Emergency Medical Retrieval Service and the Scottish Air Ambulance Division were randomised to perform a standardised pre-hospital clinical simulation using either unprepared (standard practice) or pre-prepared (experimental method) PHEA equipment and drugs. Following a two-week washout period, each team performed the corresponding simulation. The primary outcome was intervention time. Secondary outcomes were safety-related incidents and errors, and degree of cognitive load.

resultsIn total 23 experiments were completed, 12 using experimental method and 11 using standard practice. Time required to perform PHEA using the experimental method was significantly shorter than with standard practice (11,45 versus 20:59) minutes: seconds; p = < 0.001). The experimental method also significantly reduced procedural errors (0 versus 9, p = 0.007) and the cognitive load experienced by the intubator assistant (41.9 versus 68.7 mm, p = 0.006).

conclusionsPre-preparation of PHEA equipment and drugs resulted in safer performance of PHEA and has the potential to reduce on-scene time by up to a third.

Indexed as

CognitionEmergenciesAdultAirway ManagementAnesthesia, GeneralCross-Over StudiesEmergency Medical ServicesFemaleHumansIntubation, IntratrachealMaleMiddle AgedPhysiciansAirwayDrug preparationEmergencyHuman errorHuman factorsIntubationPatient safety / safetyRisk management

Identifiers

PMID30241559
PMCPMC6150998
OpenAlexW2890325291

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.